These files contain 468 015 autopsy records from 1989 to 2004. We collected 193 cases of maternal death due to direct obstetric causes. We recorded all the data into Excel files. Then we analyzed the causes of death and classified them into 11 categories.
Results:
The causes of maternal death were as follows: amniotic fluid embolism (AFE), 24.3%; disseminated intravascular coagulation (DIC) related to pregnancy-induced hypertension, 21.2%; pulmonary thromboembolism, 13.0%; injury to the birth canal, 11.4%; medical and surgical complications, 9.8%; and atonic
see more bleeding or DIC of unknown cause, 8.3%. A discrepancy between the clinical diagnosis and pathological diagnosis was frequently observed in cases of AFE, septic DIC and injury to the birth www.selleckchem.com/products/BIBF1120.html canal. AFE diagnosed by autopsy was often clinically diagnosed as atonic bleeding or DIC of unknown cause before death. Half of the cases of AFE diagnosed by autopsy were associated with DIC.
Conclusion:
We found that AFE, DIC related to pregnancy-induced hypertension, pulmonary thromboembolism and injury to the birth canal were the major causes of maternal death in Japan. AFE had various clinical features such as uterine atony and DIC in addition to pulmonary cardiac
collapse.”
“Purpose of review
To review selected recent publications on minimally invasive mitral valve surgery to help answer the question as to whether the minimally invasive approach should be routinely used in complex mitral valve repairs.
Recent findings
Other than cosmesis, there have not been demonstrable reproducible benefits of the minimally invasive approach. Although some workers report
excellent results, there are other data that raise concern that complex repairs are less likely to be undertaken via the minimal access approach, resulting in lower repair rates, and also that the incidence of residual regurgitation may be higher. Some complications, such as stroke, may occur with greater frequency in patients having the minimally invasive approach.
Summary
The minimally invasive approach for complex mitral valve repair requires continued development BV-6 and investigation, and current application should probably be largely restricted to high-volume reference minimally invasive surgery centers.”
“Aim:
To determine maternal and fetal outcomes in patients with Eisenmenger’s syndrome (ES) with the therapeutic strategy.
Material & Methods:
The case histories and therapeutic procedures of 13 pregnant women with ES had been reviewed.
Results:
One case spontaneously aborted before 28 weeks due to intrauterine death, four were taken to cesarean section before 28 weeks and eight (61.5%) survived beyond 28 weeks’ gestation before cesarean section. One mother died (92.3% survival), while infant loss was 38.5%.